Difference between revisions of "Esophageal ring"
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Submitted as "Mid Esophagus", Biopsy: | |||
- Squamous mucosa with basal cell hyperplasia, focal papillary | |||
elongation and abundant (predominantly basal) intraepithelial | |||
lymphocytes, see comment. | |||
- NEGATIVE for apparent eosinophils or neutrophils | |||
- NEGATIVE for dysplasia and NEGATIVE for malignancy. | |||
Comment: | |||
The clinical history (Schatzki's ring) is noted; the morphology would be compatible with that (or GERD if more distal). | |||
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ESOPHAGUS, BIOPSY: | ESOPHAGUS, BIOPSY: | ||
Latest revision as of 21:24, 9 December 2015
Esophageal ring is an uncommon pathology that afflict the esophagus. Schatzki ring redirects here.
General
- Dysphagia (difficulty swallowing).[1]
- Clinical diagnosis.
Gross
- Ring-like narrowing of the esophageal lumen.
Endoscopic image of a Schatzki ring. (WC)
Microscopic
Features:[2]
- Inflamed squamous mucosa.
- Occasionally columnar epithelium.
DDx:[2]
Note:
- Histologic findings are nonspecific.
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Submitted as "Mid Esophagus", Biopsy: - Squamous mucosa with basal cell hyperplasia, focal papillary elongation and abundant (predominantly basal) intraepithelial lymphocytes, see comment. - NEGATIVE for apparent eosinophils or neutrophils - NEGATIVE for dysplasia and NEGATIVE for malignancy. Comment: The clinical history (Schatzki's ring) is noted; the morphology would be compatible with that (or GERD if more distal).
Block letters
ESOPHAGUS, BIOPSY: - SQUAMOUS MUCOSA WITH BASAL CELL HYPERPLASIA, INTRAEPITHELIAL EDEMA AND RARE INTRAEPITHELIAL EOSINOPHILS -- COMPATIBLE WITH GASTROESOPHAGEAL REFLUX. - COLUMNAR EPITHELIUM WITH MODERATE CHRONIC INACTIVE INFLAMMATION. - NEGATIVE FOR INTESTINAL METAPLASIA. - NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.
References
- ↑ Pezzullo, JC.; Lewicki, AM. (Sep 2003). "Schatzki ring, statistically reexamined.". Radiology 228 (3): 609-13. doi:10.1148/radiol.2283021162. PMID 12869689.
- ↑ 2.0 2.1 Iacobuzio-Donahue, Christine A.; Montgomery, Elizabeth A. (2005). Gastrointestinal and Liver Pathology: A Volume in the Foundations in Diagnostic Pathology Series (1st ed.). Churchill Livingstone. pp. 11. ISBN 978-0443066573.